| NPI | 1073784120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON SCOTT JOHNSTON Owner 859-624-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY KY1726) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |